Application for Employment

COMPANY: LOBO TRUCKING
ADDRESS: P.O. BOX 2914
CITY: HOBBS STATE: NM ZIP: 88241

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age marital status, or non-job related disability

Choose Lobo Trucking Location*
Date of Application*
Position(s) applied for*
Name*
Prefix First Last Suffix
Email*
List your addresses of residence for the past 3 years.
Current Address*
Street Address Address Line 2 City State ZIP Code
Previous Address
Street Address Address Line 2 City State ZIP Code
Previous Address
Street Address Address Line 2 City State ZIP Code
Do you have the legal right to work in the United States?*
- Yes
- No
Date of Birth*
MM
DD
YYYY
Can you provide proof of age?*
- Yes
- No
Have you worked for this company before?*
- Yes
- No
Reason for leaving?
Are you now employed?*
- Yes
- No
If not, how long since leaving last employment?
Who referred you?
Rate of pay expected $
EMPLOYMENT HISTORY

All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code.

Applicants to drive a commercial motor vehicle in intrastate of interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle.

(NOTE: List employers in reverse order starting with the most recent. Add another sheet as necessary)
Employer Name:*
Address*
Street Address Address Line 2 City State ZIP Code
Contact Person*
Phone*
From*

Employment Start Date
To*

Employment End Date
Position Held*
Reason for Leaving*
Employer Name:
Address
Street Address Address Line 2 City State ZIP Code
Contact Person
Phone
From

Employment Start Date
To

Employment End Date
Position Held
Reason for Leaving
Employer Name:
Address
Street Address Address Line 2 City State ZIP Code
Contact Person
Phone
From

Employment Start Date
To

Employment End Date
Position Held
Reason for Leaving
Accident record for the past 3 years or more (attach sheet if more space is needed) if none, click none.
- None
Last Accident (Date)
MM
DD
YYYY
Nature of Accident
(Head-on, Rear-end, Upset, ETC)
Fatalities
- Yes
- No
Injuries
- Yes
- No
Next Previous (Date)
MM
DD
YYYY
Nature of Accident
(Head-on, Rear-end, Upset, ETC)
Fatalities
- Yes
- No
Injuries
- Yes
- No
Next Previous (Date)
MM
DD
YYYY
Nature of Accident
(Head-on, Rear-end, Upset, ETC)
Fatalities
- Yes
- No
Injuries
- Yes
- No
Traffic convictions or forfeitures for the past 3 years (Other than parking violations) if none, write none.
- None
Location
Date
MM
DD
YYYY
Charge
Penalty
EDUCATION

Choose the Highest Grade Completed
Elementary
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
High School
- 1
- 2
- 3
- 4
College
- 1
- 2
- 3
- 4
Last School Attended*
EXPERIENCE AND QUALIFICATIONS-DRIVER

DRIVER LICENSE:
State*
License No.*
Type*
Expiration Date*
Do you possess more than one drivers license?*
- Yes
- No
1. Have you ever been denied a license, permit or privilege to operate a motor vehicle?
- Yes
- No
2. Has any license, permit or privilege ever been suspended or revoked?
- Yes
- No
IF THE ANSWER TO EITHER 1 OR 2 IS YES, ATTACH STATEMENT GIVING DETAILS.
IMPORTANT – conditions of employment – please read carefully before submitting.
- • I hereby authorize Texas Lobo Trucking, LLC dba Lobo Trucking to conduct now, or at anytime while employed with “Lobo” or any of its affiliates, a public record(s) search report containing information for verification of prior employment, academic achievement, (financial history, use of motor vehicle, if applicable to the job), general background and personal character that may have related information to this application. In connection with an offer of employment “Lobo” may request a post offer drug test, medical inquiries and/or examination for purpose of establishing and verifying the performance of essential job functions.
- • I release “Lobo” and all its subsidiaries, collectors and testing laboratories, their employees, agents and contractors from all liability relating to this testing and the decisions arising from the results of the test which may affect any employment offer that has been extended to me.
- • I certify that the information provided herein is correct to the best of my knowledge and recognize that false or omitted information will result in employment refusal or termination without notice.
- • I understand that applying for employment with “Lobo” shall in no way imply a guarantee or promise of employment. If employed, I understand that my employment by “Lobo” may be terminated at will for any reason, and I may voluntarily terminate my employment at any time for any reason.
- • I further understand that I will not disclose, or use for my own benefit or purpose any trade secrets or confidential information.
- • I understand that it is the policy of “Lobo” not to refuse to hire/otherwise discriminate against a qualified individual with a disability because of that persons need for reasonable accommodation as required by ADA.
- • I also understand that this application becomes inactive and no longer under consideration 3 months from date of application.
Verify that you have read the conditions of employment.*
- I have read the conditions of employment.
EMERGENCY CONTACT INFORMATION
Name*
Phone*
Name
Phone

Application for Employment

EMPLOYMENT HISTORY

EDUCATION

EXPERIENCE AND QUALIFICATIONS-DRIVER

IMPORTANT – conditions of employment – please read carefully before submitting.

EMERGENCY CONTACT INFORMATION